Individual
ROGER B FILLINGIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 SW ARCHER ROAD, GAINESVILLE, FL 32608
(352) 376-1611
Mailing address
9217 SW 31ST PLACE, GAINESVILLE, FL 32608
(352) 273-5963
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY6363
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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